PORTIA MACK

COLUMBIA, SC
NPI1578120408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Additional Taxonomies106S00000X Behavior Technician
372600000X Adult Companion
376J00000X Homemaker
376K00000X Nurse's Aide
Enumeration Date2019-05-27
Last Update Date2021-02-17
Business Address
PORTIA MACK
807 PINE SPRINGS RD
COLUMBIA, SC 29210-6333
Phone number: 803-369-9848
Mailing Address
PORTIA MACK
807 PINE SPRINGS RD
COLUMBIA, SC 29210-6333
Phone number: 803-369-9848